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Reimbursement Policy Update for June 1, 2022 June 01, 2022

 

Reimbursement Policy

Revision

Add-On CodesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Anesthesia, Professional And FacilityNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Bundling GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Co-Surgeon, Assistant Surgeon, Team Surgeon And Assistant-At-Surgery GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Consistency GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Diagnosis Validity & Code GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Evaluation And Management ServicesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Facility Billing GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Global SurgeryNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Immunization GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Maximum Units Of ServiceNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Multiple Cardiovascular, Radiology, And Ophthalmology ServicesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Modifier GuidelinesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
NCCI EditingNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
ObservationNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Once In A LifetimeNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Outpatient Code Editor (OCE) EditsNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Partial Hospitalization And Intensive Outpatient ProgramsNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Place Of ServiceNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Preadmission And Preoperative ServicesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Pricing And Adjudication PrinciplesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Revenue Codes Requiring Procedure Codes, FacilityNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Split Surgical PackageNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Status CodesNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.
Supply and Equipment ReimbursementNew policy developed. Medical Director approved. Notification on 3/31/2022 for effective date 6/1/2022.

 

 
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